I'm on 7 right now, 8 if you count cogentin for EPS caused by loxapine, my 2nd AP. It's a ton but it's hopefully temporary. I'm on Emsam for depression, Seroquel as a mood stabilizer/AP, loxapine as a mood stabilizer/AP, gabapentin as a mood stabilizer, topirimate as a mood stabilizer, klonopin for anxiety/PTSD/OCD and valium for anxiety/insomnia/EPS treatment. I'm already trying (without great success) to come off klonopin and use valium only. I think that I need a dose adjustment before that's going to work well. I'm on a very high dose of Seroquel and next month will come down to just a high dose of it with the goal being to halve my Seroquel. Gabapentin and topirimate I'm on low doses of both but they both do have an effect on my mood. The hope is that as I stabilize on loxapine which I've only been on about 7 weeks that I won't need those anymore. It's hard to be sure because loxapine is rarely used and even my dr is positive what it will do and not do but so far it has been hopeful as long as we can control the EPS. Cogentin is necessary for the EPS.

So the hope is that eventually I'll be on 2 APs, and AD, and a benzo, plus cogentin. I wound up on so many meds because I've been on 67 cocktails now and am running out of options. So we made Seroquel do everything it possibly could as long as we could and that meant bolstering it with the low dose mood stabilizers that I couldn't tolerate at higher doses. Then when Seroquel reached the end of what we could get from it and it was no longer going to help me without more medication the 2nd AP was added to essentially take some burden off of Seroquel since it can't do everything. I wound up on 2 benzos because klonopin helps with anxiety but when I am manic it doesn't help my sleep and sleeping pills are worthless to me so that left valium which does work for sleep. We're trying to reduce that to just valium and klonopin as a PRN but valium alone isn't getting me to sleep on time and is making me sleepy all day long so it's not ideal, at least yet.

So for me I'm on a ton but it's hopefully at least partially temporary and I got here because of desperation. I'm pretty much left hoping that I make it until a new med is released that I've not tried before and which is safe with my other meds. Hopefully in the next year or 2.